Pavlos, Stephan
Pavlos, Stephan is an individual health care provider with primary practice located at 400 Eastern Shore Dr , Salisbury MD 21804-5565. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Pavlos, Stephan can be contacted via phone (410) 749-8906.Contact Information
Primary practice address
400 Eastern Shore Dr
Salisbury MD 21804-5565
Phone: (410) 749-8906
Fax: (410) 219-5662
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | D41721 | Maryland |
Profile Details
| NPI number | 1619952439 |
|---|---|
| LBN Legal business name | Pavlos, Stephan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619952439 | NPPES |
| Maryland | MEDICAID | 158441300 |
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